Disruptive Innovation In Health Care Delivery: A Framework For Business-Model Innovation

Hwang, Jason; Christensen, Clayton M.

doi:10.1377/hlthaff.27.5.1329

Cited by 404 publications

(332 citation statements)

References 1 publication

Supporting

Mentioning

311

Contrasting

Unclassified

Order By: Relevance

“…Care providers and healthcare executives are not expected to embrace new incentives as long as the old ones dominate the healthcare market [19]. On the basis of the recent work of Richard Bohmer [19][20][21][22] and Jon Christensen and colleagues [23][24], we hypothesize that the means to cross this gap may lie in a systematic alignment of payment reform with the nature of care.…”

Section: Introductionmentioning

confidence: 99%

Healthcare payment reforms across western countries on three continents: Lessons from stakeholder preferences when asked to rate the supportiveness for fulfilling patients’ needs

et al. 2013

View full text Add to dashboard Cite

Objective. To test the hypothesis that care typology -being complex and highly unpredictable versus being clear-cut and highly predictable -guides healthcare payment preferences of physicians, policy makers, healthcare executives, and researchers.Data Sources/Study Setting. We collected survey data from 942 stakeholders across Canada, Europe, Oceania, and the United States. Forty-eight international societies invited their members to participate in our study. Study Design.Cross-sectional analysis of stakeholder survey data linked to four scenarios of care typology: primary prevention, trial-and-error care, standard care and network care.Principal Findings. We identified two "extremes": (1) dominant preferences of physicians, who embraced fee for service (FFS), even when this precludes the advantages of other payment systems associated with a minimal risk of harm (OR 1.85 for primary prevention; OR 1.89 for standard care, compared to non-physicians); and (2) the dominant preferences of healthcare executives and researchers, who supported quality bonus or adjustment (OR 1.92) and capitation (OR 2.05), respectively, even when these could cause harm. Conclusions.Based on explorative findings, we can cautiously state that payment reform will prove to be difficult as long as physicians, healthcare executives, and researchers misalign payment systems with the nature of care. Replication studies are needed to (dis)confirm our findings within representative subsamples per area and stakeholder group.

show abstract

Section: Introductionmentioning

confidence: 99%

Healthcare payment reforms across western countries on three continents: Lessons from stakeholder preferences when asked to rate the supportiveness for fulfilling patients’ needs

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Several recent papers highlight the potential importance of disruptive technologies in the health sector (Hwang and Christensen 2008;Pauly 2008). They argue that new technologies make it possible to employ a rules-based approach towards diagnosing and managing illnesses, which reduces the need for the expensive expertise and judgment of physicians in a large proportion of cases (Halford et al 2010).…”

Section: Disruption and Major Transitionsmentioning

confidence: 99%

Building institutions for health and health systems in contexts of rapid change

Bloom

Wolcott

2013

Social Science & Medicine

View full text Add to dashboard Cite

More details/abstract: Many Asian countries are in the midst of multiple interconnected social, economic, demographic, technological, institutional and environmental transitions. These changes are having important impacts on health and well-being and on the capacity of health systems to respond to health-related problems. This paper focuses on the creation of institutions to overcome information asymmetry and encourage the provision of safe, effective and affordable health services in this context of complexity and rapid change. It presents a review of literature on different approaches to the analysis of the management of system development and institution-building. There is a general agreement that the outcome of an intervention depends a great deal on the way that a large number of agents respond. Their response is influenced by the institutional arrangements that mediate relationships between health sector actors and also by their understandings and expectations of how other actors will respond. The impact of a policy or specific intervention is difficult to predict and there is a substantial risk of unintended outcomes. This creates the need for an iterative learning approach in which widespread experimentation is encouraged, good and bad experiences are evaluated and policies are formulated on the basis of the lessons learned. This enables actors to learn their roles and responsibilities and the appropriate responses to new incentive structures. The paper concludes with an outline of the information needs of managers of health system change in societies in the midst of rapid development. Version: Accepted Author ManuscriptTerms of use: NOTICE: this is the author's version of a work that was accepted for publication in Social Science and Medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. AbstractMany Asian countries are in the midst of multiple interconnected social, economic, demographic, technological, institutional and environmental transitions. These changes are having important impacts on health and wellbeing and on the capacity of health systems to respond to health-related problems. This paper focuses on the creation of institutions to overcome information asymmetry and encourage the provision of safe, effective and affordable health services in this context of complexity and rapid change. It presents a review of literature on different approaches to the analysis of the management of system development and institution-building. There is a general agreement that the outcome of an intervention depends a great deal on the way that a large number of agents respond. Their response is influenced by the institutional arrangements that mediate relationships between health sector actors and also by their understandings and expectations of how other actors will respond. The impact of a...

show abstract

“…Innovations in the low-end market are, in contrast, often low-priced and offered to customers with less purchasing power. Hwang & Christensen (2008) have argued that disruptive innovations in health care are needed and that transforming complicated and expensive services into simpler, more convenient, and more affordable services is important.…”

Section: Introductionmentioning

confidence: 99%

Exploring the effects of eHealth service innovation

et al. 2015

View full text Add to dashboard Cite

To analyse the impact of implementation and use of eHealth services is fraught with difficulty, and there is often a gap between expected and identified outcomes. In this paper, we identify innovation effects of an eHealth service by applying a framework that focusses on the expected coherent impacts of implementing an IT innovation and contributes to the body of knowledge on tracking innovation effects of services in eHealth. A case study examines four different care units in a government-funded health-care setting. The results show that the effects in the first two contexts of the framework, the micro level and intra-/interorganisational level, could be clearly identified with regard to the physicians and the organisation. However, effects were lacking in the virtual context when looking beyond the involvement of the stakeholders in the eHealth service. The connections between effects for societal groups and larger societal systems simply could not be made in a satisfactory manner.

show abstract

Disruptive Innovation In Health Care Delivery: A Framework For Business-Model Innovation

Cited by 404 publications

References 1 publication

Healthcare payment reforms across western countries on three continents: Lessons from stakeholder preferences when asked to rate the supportiveness for fulfilling patients’ needs

Healthcare payment reforms across western countries on three continents: Lessons from stakeholder preferences when asked to rate the supportiveness for fulfilling patients’ needs

Building institutions for health and health systems in contexts of rapid change

Exploring the effects of eHealth service innovation

Contact Info

Product

Resources

About